Individual
TIFFANY TEVOLINA KHACHIKYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
113 1ST STREET W, MOUNT VERNON, IA 52314
(318) 895-6248
Mailing address
1431 OZARK RDG, CORALVILLE, IA 52241-1079
(818) 397-3177
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24051
IA
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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